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Ipratropium
Ipratropium
Pronunciation
(i pra TROE pee um)
Brand Names
Atrovent®
Therapeutic Categories
Anticholinergic Agent; Bronchodilator
What is this medicine used for?
Inhaled:
- This medicine is used to relax the airways to improve breathing and
decrease wheezing. It is the first medicine used in treatment of COPD and is
used in asthma as an add on medicine (usually in addition to 3 or 4 other ones).
Nasal:
- This medicine is used to treat the runny nose seen in allergies and the
common cold.
How does it work?
- Ipratropium works at sites in the breathing tubes to relax the muscle. This
allows oxygen delivery to improve.
- It also dries up the runny nose.
How is it best taken?
- For inhaling (puffing) only by an inhaler or as a liquid through a special
machine (nebulizer). Shake inhaler well before using.
- Spacer can be used with inhaler for easier delivery (to get more medicine
into the lungs).
- Check inhaler use with healthcare provider at each visit. Using the inhaler
the right way is very important.
- If you are using more than one type of inhaler. Ask healthcare provider
which one to use first.
- Spray nasal spray up the nose only. Do not spray in eyes.
What do I do if I miss a dose?
- Take a missed dose as soon as possible.
- If it is almost time for the next dose, skip the missed one. Return to your
regular schedule.
- Do not take a double dose or extra doses.
- This medicine is not for the treatment of acute episodes of shortness of
breath.
What are the precautions when taking this
medicine?
- Wear disease medical alert identification if using for lung disease.
- Do not use aerosol spray if allergic to peanuts or soybeans. Talk with
healthcare provider.
- Tell healthcare provider if you are allergic to any medicine. Make sure to
tell about the allergy and how it affected you. This includes telling about
rash; hives; itching; shortness of breath; wheezing; cough; swelling of face,
lips, tongue, throat; or any other symptoms involved.
- Tell healthcare provider if you are breast-feeding.
What are the common side effects of this
medicine?
- Cough.
- Nausea. Small frequent meals, frequent mouth care, sucking hard candy, or
chewing gum may help.
- Dry mouth. Rinse out mouth with water after each use.
- Headache. Mild pain medicine may help.
What should I monitor?
- Watch for changes in breathing. Is breathing better, worse, or the same?
- Follow up with healthcare provider.
Reasons to call healthcare provider
immediately
- Signs of a life-threatening reaction. These include wheezing; tightness in
the chest; fever; itching; bad cough; blue skin color; fits; swelling of face,
lips, tongue, or throat.
- Eye pain or blurred vision.
- Too much nasal dryness or bleeding.
- Any rash.
- No improvement in condition or feeling worse.
How should I store this medicine?
- Store at room temperature. Protect from light and moisture.
General statements
- Do not share your medicine with others and do not take anyone else's
medicine.
- Keep all medicine out of the reach of children and pets.
- Keep a list of all your medicines (prescription, herbal/supplements,
vitamins, over-the-counter) with you. Give this list to healthcare provider
(doctor, nurse, pharmacist, physician assistant)
- Talk with healthcare provider before starting any new medicine, including
over-the-counter or natural products (herbs, vitamins).
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